Individual
THOMAS DEWEY HOUSTON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
ST.0006562
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ST.0006562
SURGICAL TECH LICENSE
CO
Enumeration date
02/09/2023
Last updated
02/09/2023
Update your record
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